One more thing. Many people have success keeping blood sugars in better control by cutting back on carbs. How much you cut back to will depend on how you want to live. Some people are ultra-low carb. Eating less than 30 g of carb per day. I personally couldn't live like that. The ADA recommends close to 200. I couldn't do that either as I'm a smallish woman and would end up as big as a house if I ate that much. And couldn't eat that volume either. So about 100 - 120g per day kept me satisfied and my weight normal. You will have to decide how you want to live and eat.View Thread
The reason they don't call it "juvenile onset" diabetes any more is due to the fact that you can get it at any age. What would you call it if your great grandpa got it at age 95? "Senility onset" diabetes? lol Of course not.
I can't stress enough that you get your hands on the books I suggested. It may take you a bit to slog through them, but they will help. There are basically 3 things you need to learn to figure out.
1. Basal rate - how much background insulin (lantus or levemir) needed to keep your blood sugar stable when you are not eating.
2. Insulin to carb ratio (I:C) - this is how many carbs can be eaten per unit of insulin. Most docs will start you at a ratio of about 1:15. So 1 unit of humalog/rapid per 15g of carbohydrate (about 1 slice of bread). Read labels. And there is a site and book called Calorie king that will give you food contents and portion size
3. Insulin sensitivity factor (ISF) - how many points 1 unit of fast acting insulin will bring down your blood sugar if you are high.
So, for example, if my I:C is 1:15 and my ISF is 40, lets' look at the following scenario. Suppose I ate a meal with 30g of carb (1 slice toast, with bacon, egg, and a small piece of fruit). For that I would take 2 units of insulin. Also suppose that my blood sugar was 190 and I wanted it down to 150, I would take an extra 1 unit of insulin. So all totalled, for my meal and my bg level, I would take 3 units of insulin.
These ratios you will have to work out for yourself by testing. Again, these books will help you, together with your doc, figure out how to handle the new insulin regime.
Best of luck. And always have fast acting glucose on hand. I like to keep Starburst Fruit Chews handy. The bring me up fast, are individually wrapped, but I don't like them enough to snack on when I don't need them.View Thread
Yes, starting insulin can be scary. If you don't mind my asking, how long has he had diabetes? It is possible, if he is only a few years in, that he is actually a type 1. Sometimes it can take 5 or 6 years before insulin is required in adult onset type 1. Since you are seeing an endo, you might want to ask about antibody testing to check this.
As for taking insulin, first off, you don't say how often he tests his glucose. It should be quite often, especially since you should be carb counting and dosing accordingly instead of just taking a set dose. Sorry, but that's a pretty old fashioned approach (IMHO).
To learn more about this, I will suggest 2 books. Available on Amazon (new and used) as well as at many local public libraries. The books are "Think Like a Pancreas" and "Using Insulin" Don't worry, it's not rocket science. Just observation and elementary school math. Take the time and you will be able to get good control.
I knew that! You've been around here forever! I just thought it was funny that someone thought you were trying to sell a product.I've been around here since the 90s under different usernames as they kept having technical glitches and I'd "disappear".
Hooty, the whole "Glucerna" issue went ballistic when she joined and for whatever reason, the mods allowed it. She's ok actually. I believe she does work for them, but never advertises. Since I don't buy or believe in "diabetic" products I'm not that concerned myself, but all of her posts have been pretty benign. Basically in either the "rah rah!" category congratulating people on taking care of themselves or telling them to see their doctor. Neither really helpful, or hurtful in any way.
And as for Nutrijoy, I didn't even know it was a product until you mentioned it. Ive never seen any ads the way I do with Glucerna. You learn something new every day.
It could be a lot of things. In the toes, it could be DPN (diabetic peripheral neuropathy). It is a bit less common in the hands, but don't eliminate things like carpal tunnel or ulnar nerve issues. You should see a doc.
Nutrijoy has given some good advice. Yup, good glycemic control is key for so many things. That said, as T1 is an autoimmune disorder, you might be better off seeing an endocrinologist than a derm. I had a friend who had someone weird and ugly on her leg. Despite good control, it grew and looked worse. They ended up treating it topically with insulin and that seemed to help somewhat. We lost touch, so I don't know the final result. But in your wife's case, it could be some sort of other disease which is then confused with the D. I hope you are seeing a good endo and they can help.
Aaah, that explains part of it. What you are experiencing could be a "false low". When you have been used to running much higher (and you have, not that long ago) your body gets used to it. And close to normal numbers will make you feel hypo (sweaty, nauseated, shaky). The good news is that this goes away with more consistent control. Keep at it. Try eating something like nuts or cheese when you feel this way. It can help but the no/low carb food won't raise your glucose.